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N81 vs N85

N81 (Female genital prolapse) compared with N85 (Other noninflammatory disorders of uterus, except cervix), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. N85 carries an Excludes1 note covering N81: “uterine prolapse (N81.-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

N81Female genital prolapseN85Other noninflammatory disorders of uterus, except cervix
Billing statusNon-billable header

Report instead: N81.0, N81.10, N81.11, N81.12, N81.2

Non-billable header

Report instead: N85.00, N85.01, N85.02, N85.2, N85.3

ClassificationN00-N99 — Diseases of the Genitourinary System (N00-N99)N00-N99 — Diseases of the Genitourinary System (N00-N99)
DefinitionFemale genital prolapse is a non-billable ICD-10-CM category code (N81).Other noninflammatory disorders of uterus, except cervix is a non-billable ICD-10-CM category code (N85).
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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources